Tyler James Peterson, DC - Medicare Chiropractor in Woodbury, MN

Tyler James Peterson, DC is a medicare enrolled "Chiropractor" provider in Woodbury, Minnesota. He went to Life Chiropractic College and graduated in 2015 and has 9 years of diverse experience with area of expertise as Chiropractic. His current practice location is 8470 City Centre Dr Ste D, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 571-0726.

Tyler James Peterson is licensed to practice in Minnesota (license number 6136) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1780042036.

Contact Information

Tyler James Peterson, DC
8470 City Centre Dr Ste D,
Woodbury, MN 55125-3356
(651) 571-0726
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTyler James Peterson
GenderMale
SpecialityChiropractic
Experience9 Years
Location8470 City Centre Dr Ste D, Woodbury, Minnesota
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler James Peterson attended and graduated from Life Chiropractic College in 2015
  NPI Data:
  • NPI Number: 1780042036
  • Provider Enumeration Date: 02/02/2016
  • Last Update Date: 02/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355649591
  • Enrollment ID: I20160421000212

Medical Identifiers

Medical identifiers for Tyler James Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780042036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 6136 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler James Peterson allows following entities to bill medicare on his behalf.
Provider NameCornerstone Chiropractic Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437518123
PECOS PAC ID: 0446558688
Enrollment ID: O20160421000159

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler James Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler James Peterson, DC
8470 City Centre Dr Ste D,
Woodbury, MN 55125-3356

Ph: (651) 571-0726
Tyler James Peterson, DC
8470 City Centre Dr Ste D,
Woodbury, MN 55125-3356

Ph: (651) 571-0726

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.